Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-08-30-33
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215615 DEA: 101L2304 EFIS: 1020000163 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-4-5.4/13.4 |
| Award Date | 05/05/2021 |
| Closeout Date | 01/31/2022 |
| Work Description | COLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA. |
| Location Description | SAN JOAQUIN COUNTY NEAR STOCKTON FROM 1 MILE EAST OF MIDDLE RIVER BRIDGE TO 0.1 MILE WEST OF JOHN TURK ROAD |
| QA Service Level | 1 (Verified on 04/21/2021) |
Sample Information
| Sample Taken Date | 08/30/2021 | Sample Unique Key | 33 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 09/07/2021 |
| Sample type | Acceptance | A brief description of the sample | PG 64-16 |
| The quantity of what the sample constitutes | 1 can | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Kort |
| Title of sampler | CONSTR INSP | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | George Reed - Clements Plant | Transportation Laboratory (TL) Number | C2104PG2 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | VSS Emultech - West Sacramento CA | Multigrade | Yes |
| Multigrade Type | PG 64-16 / PG 64-10 | Asphalt Binder Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||